Organization
THE MIRIAM HOSPITAL
Active
Organization
THE MIRIAM HOSPITAL
Active
Parent organization
LIFESPAN CORPORATION
Other names
Womens Medicine Collaborative
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN CORPORATION
Authorized official
MR. PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
146 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 793-3215
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
HOS00122
RI
Other
Enumeration date
06/08/2011
Last updated
12/11/2025
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